Breast swelling and pain occur a few days before menstruation.

Written by Jia Rui
Obstetrics and Gynecology
Updated on January 04, 2025
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Breast pain and swelling commonly occur 3 to 5 days before menstruation. As everyone's physical condition varies, the severity and duration of breast pain can differ. Clinically, most women experience this discomfort. Generally, the symptoms gradually disappear after the onset of menstruation. This is related to hormonal imbalances involving estrogen before menstruation, or due to the withdrawal of estrogen. If the symptoms are mild, treatment is usually not necessary. It's often sufficient to rest adequately, avoid excessive fatigue, and maintain a good mood and outlook.

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Written by Zhang Hui
Obstetrics and Gynecology
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Do women experience breast pain during ovulation?

Women experience symptoms of breast swelling and pain during ovulation due to hormonal levels in the body, which is a normal physiological phenomenon and should not be overly concerning. Generally, these symptoms will disappear after ovulation. If the symptoms of breast swelling and pain are severe, it is advisable to promptly visit a reputable local hospital for relevant examinations to determine the specific cause. Under the guidance of a clinician, treatment should be given according to the symptoms. It is recommended that women should rest during ovulation, avoid strenuous exercise, maintain genital hygiene, and wear loose, breathable underwear.

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Written by Fan Hong Qiao
Breast Health Department
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What causes breast pain during menstruation?

The menstrual period is a time when female hormone levels fluctuate, which is the fundamental reason why most women experience breast pain during menstruation. Due to the fluctuation of hormone levels, there is an increase in breast tissue and edema in the interstitial tissue of the breast, ultimately causing the sensation of breast pain. If the breast pain during menstruation does not ease after the period, or if the pain is very severe, or even painful to touch, attention is needed. This is considered pathological breast pain, likely caused by breast disease, and could be related to breast hyperplasia, mastitis, or even breast tumors. It is necessary to consult a professional doctor for a breast diagnosis.

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Written by Jia Rui
Obstetrics and Gynecology
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How many days before menstruation does breast pain occur?

The duration of breast pain before menstruation varies depending on an individual's constitution. Typically, breast pain is a sign that menstruation is approaching, and the symptoms will gradually disappear after the onset of menstruation. If the symptoms are mild, there is no need for treatment. It is important to rest adequately and avoid overexertion. Applying a warm towel to the breasts can help alleviate the pain. Additionally, it is important to maintain a good mood and attitude during menstruation and when experiencing breast pain, and avoid becoming angry or anxious.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How long after breast pain does menstruation come?

Everyone experiences different symptoms before menstruation. Some people experience breast swelling and soon after, their period begins, while for others, breast swelling can last for about two weeks or more before menstruation occurs. This varies from person to person because breast swelling is related to many factors. For example, some start experiencing it after ovulation, while for others, it might be related to staying up late and recent high stress levels. Some individuals may have mammary gland hyperplasia and should regularly have breast examinations, such as breast palpation and breast ultrasound, among other tests. Not every symptom indicates that menstruation will occur; some could be early signs of pregnancy. If the period is delayed, it is still necessary to check.

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Written by Lin Yang
Breast Surgery
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Can an ice pack be applied for breast swelling and pain?

Breast pain is generally not treated with cold compresses using ice packs; instead, hot compresses can be considered. Breast pain caused by fibrocystic changes can be treated with traditional Chinese medicine. Methods such as soothing the liver and regulating the Qi, and harmonizing the thoroughfare and conception vessels can relieve pain. Endocrine therapy is also an option, though preferably minimized. It can be taken before menstruation in cases of significant pre-menopausal pain. Vitamin treatment, including vitamins B, C, and E, can improve liver function, regulate basal metabolic rate, and enhance autonomic nerve functionality, and thus can be used as auxiliary medication for this condition. In recent years, vitamin E is also considered to have pain-relieving effects. For those with a family history of breast cancer, or when the lesion is confined to a part of the breast and a noticeable lump persists after the menstrual period, a biopsy via fine-needle aspiration or MammoTome rotational biopsy may be conducted, and surgical treatment may be necessary if required.